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Publikacije (28)

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E. Žuškin, D. Pokrajac, D. Ivankovic, B. Kanceljak, M. Tonković-Lojović, J. Godnić-Cvar, N. Turčić

Forty women employed as furriers in the fur processing industry and a group of 31 control workers were examined. A higher prevalence of chronic respiratory symptoms was found among the furriers than among the controls. The differences were statistically significant for chronic cough and sinusitis (P less than 0.01). The highest prevalence in furriers was found for chronic cough (50%), sinusitis (30%), followed by dyspnea (25%), nasal catarrh (20%) and occupational asthma (5%). A large number of workers complained of acute symptoms during work shift. Statistically significant mean acute reductions in ventilatory capacity over the workshift were recorded for FVC (-4.1%), FEV1 (-5.2%) and FEV50 (-6.3%). The furriers demonstrated significantly lower mean measured pre-shift values for FVC and FEV25 (P less than 0.05) when compared with the predicted. Pre-shift administration of 40 mg of Intal considerably diminished acute ventilatory capacity over the work shift.

E. Žuškin, Z. Skurić, B. Kanceljak, D. Pokrajac, I. Zrilić, M. Tonković-Lojović, M. Mataija

E. Žuškin, M. Mataija, D. Pokrajac, E. Schachter, T. Witek

A group of 71 men employed in animal food processing was studied to assess the prevalence of acute and chronic respiratory symptoms and the presence of lung function abnormalities. In addition, a control group of 55 unexposed men was studied for the prevalence of chronic respiratory symptoms. A significantly higher prevalence for most of the chronic respiratory symptoms was found among the exposed workers compared to the control workers. Those workers who smoked had a significantly higher prevalence of chronic cough, chronic phlegm, chronic bronchitis, and chest tightness than the smokers in the control group. For nonsmokers, the differences between exposed and control workers were significant for chronic phlegm and chest tightness. The frequency of acute symptoms associated with the work shift was high among the animal food workers. There were significantly lower measured values for FVC, FEV1, and FEF50 in the exposed group (smokers and nonsmokers) compared to predicted lung function values. In smokers, all measured parameters of ventilatory capacity were significantly less than predicted; for nonsmokers, the FVC and FEV1 were less than normal. Our data indicate that exposure to dust in the animal food industry may be associated with the development of acute and chronic respiratory symptoms and the impairment of lung function. Smoking, in this setting, appears to aggravate these changes.

E. Žuškin, B. Kanceljak, Z. Skurić, D. Pokrajac, E. Schachter, T. Witek, S. Maayani

E. Žuškin, Z. Skurić, B. Kanceljak, D. Pokrajac, E. Schachter, T. Witek

The respiratory consequences of working in the spice industry were studied in 92 female spice factory workers (mean age, 36 yr; mean exposure, 12 yr). A control group of 104 female workers employed in a nondusty industry was also studied. The prevalence of chronic respiratory symptoms was significantly higher in the exposed than in the control group. In particular, the prevalence of dyspnea (57.6%), chronic cough (22.8%), chronic phlegm and chronic bronchitis (19.6%), nasal catarrh (37.0%), and sinusitis (22.2%) was high when compared to controls (p less than .01). Among spice factory workers, a high prevalence of acute symptoms during the workshift was recorded. Acute reductions in lung function were statistically significant over the workshift for forced vital capacity (FVC), -2.0%; forced expiratory volume in one second (FEV1.0), -3.0%; and for maximum expiratory flow rates at 50% (FEF50), -8.3% and at 25% (FEF25), -15.2% measured on maximum expiratory flow-volume (MEFV) curves. No difference was found in across-shift ventilatory function in workers with or without chronic respiratory symptoms, except for FEF25 (with symptoms, 16.7%; without symptoms, 9.6%). Preshift administration of 40 mg of disodium cromoglycate (DSC) inhaled 15 min before the workshift significantly diminished acute reductions in FEF50 and FEF25 in exposed workers. Monday preshift FEF50 and FEF25 in exposed workers were significantly lower than in control workers (p less than .01), which suggests an early irreversible component to this illness.

E. Žuškin, Z. Skurić, B. Kanceljak, D. Pokrajac, I. Zrilić, M. Tonković-Lojović, M. Mataija

A. Votava, F. Raic, D. Richter, I. Goluža, D. Pokrajac, E. Svoren

E. Žuškin, Z. Skurić, B. Kanceljak, D. Pokrajac, E. Schachter, T. Witek

Respiratory function was studied in a group of 29 soy workers exposed to soy bean dust produced after extraction of soy oil. The prevalence of all chronic respiratory symptoms was consistently higher in exposed than in control workers, although the differences were not statistically significant. During the Monday work shift there was a significant mean acute across-shift decrease in maximum expiratory flow rates at 50% and 25% vital capacity (FEF50: -6.4%; FEF25: -12.4%). Changes in vital capacity (FVC: -3.6%) and 1-sec forced expiratory volume (FEV1: -2.7%) were smaller, but still statistically significant. There were also statistically significant acute reductions in all ventilatory capacity parameters over the work shift on the following Friday, although the changes were in general smaller than on Monday (except for FEV1). An analysis of Monday preshift values of ventilatory capacity in soy bean workers suggests that exposure to soy bean dust may lead to chronic respiratory impairment in some workers.

E. Žuškin, Z. Skurić, B. Kanceljak, D. Pokrajac, E. Schachter, T. Witek

Forty women who had been occupationally exposed in the fur coat manufacturing industry were studied. The mean age was 30 years; mean duration of exposure was 14 years. A group of 31 females who did not work in the furrier industry also was included in the study as the control group. A higher prevalence of all chronic respiratory symptoms was found among furriers when compared with controls; these differences were statistically significant for nasal catarrh (p less than 0.05) and sinusitis (p less than 0.01). Among the furriers, the highest prevalence of respiratory symptoms was recorded for chronic cough in 20 workers (50.0%), followed by sinusitis in 12 (30.0%), dyspnea in 10 (25.0%), and nasal catarrh in 8 workers (20.0%). Among the furriers, two (5.0%) had symptoms characteristic of occupational asthma. Most of the symptomatic furriers complained of acute symptoms during their work shifts. Statistically significant mean reductions in lung function over the work shift were recorded in furriers for forced vital capacity (FVC), -4.1%; one-second forced expiratory volume (FEV1), -5.2%; and flow rate at 50% vital capacity (FEF50%), -6.3%. Furriers demonstrated significantly lower mean Monday preshift measurements for FVC and flow rate at 25% (FEF25%) (p less than 0.05) when compared with those predicted. Preshift administration (by spinhaler) of 40 mg disodium cromoglycate in three workers reduced the intensity of acute respiratory symptoms and diminished the reductions in ventilatory capacity over the work shift. Data from six additional male workers demonstrated similar findings for symptoms and lung function. Our data suggest that furriers are at risk of developing both acute and chronic respiratory symptoms as well as ventilatory capacity impairment as a result of occupational exposure.

E. Žuškin, Z. Skurić, B. Kanceljak, D. Pokrajac, V. Bradić

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